| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,605 |
13,090 |
$776K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
15,101 |
14,753 |
$716K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,356 |
7,481 |
$626K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,488 |
2,295 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
986 |
949 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
677 |
638 |
$66K |
| 90834 |
Psychotherapy, 45 minutes with patient |
954 |
743 |
$64K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,054 |
752 |
$51K |
| 90837 |
Psychotherapy, 53 minutes with patient |
483 |
331 |
$48K |
| D0140 |
Limited oral evaluation - problem focused |
2,875 |
2,443 |
$44K |
| 36415 |
Collection of venous blood by venipuncture |
5,010 |
4,325 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,702 |
1,608 |
$25K |
| D0330 |
Panoramic radiographic image |
349 |
341 |
$18K |
| D7140 |
Extraction, erupted tooth or exposed root |
299 |
152 |
$15K |
| 99406 |
|
305 |
284 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
142 |
141 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
260 |
253 |
$11K |
| 99205 |
Prolong outpt/office vis |
82 |
77 |
$10K |
| 0001A |
|
280 |
270 |
$10K |
| 0002A |
|
205 |
198 |
$8K |
| 99215 |
Prolong outpt/office vis |
63 |
63 |
$7K |
| 0013A |
|
156 |
154 |
$6K |
| 0003A |
|
106 |
105 |
$4K |
| 0011A |
|
100 |
100 |
$3K |
| 0012A |
|
84 |
83 |
$3K |
| 0124A |
|
92 |
88 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
359 |
314 |
$1K |
| 0072A |
|
41 |
35 |
$1K |
| D1110 |
Prophylaxis - adult |
43 |
43 |
$786.50 |
| 0071A |
|
54 |
38 |
$640.00 |
| D0190 |
|
29 |
29 |
$469.00 |
| 0031A |
|
37 |
20 |
$440.07 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
18 |
15 |
$66.75 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
12 |
$44.00 |
| 91300 |
|
574 |
551 |
$0.06 |
| 91301 |
|
354 |
350 |
$0.00 |
| 91307 |
|
85 |
67 |
$0.00 |
| 91312 |
|
78 |
74 |
$0.00 |